Organization
NEW CHOICE INTERVENTION, INC.
Active
Organization
NEW CHOICE INTERVENTION, INC.
Active
Other names
New Choice Intervention, Inc, New Choice Intervention, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TUNDE O ALI PHD, ACSW, QIDP, EIS (PRESIDENT/CEO)
(708) 566-1768
Entity
Organization
Contact information
Practice address
142 E 154TH ST, HARVEY, IL 60426-3326
(708) 566-1768
(708) 566-1786
Mailing address
142 E 154TH ST, HARVEY, IL 60426-3326
(708) 566-1768
(708) 566-1786
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275967226
—
IL
05
—
14007
—
IL
Enumeration date
04/05/2021
Last updated
06/10/2021
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